CHAPTERS 26 &42 TANYA COMER, RN BSN. VITAL SIGNS Vital signs reflect the function of three body processes essential for life Regulation of body temperature.

Slides:



Advertisements
Similar presentations
Vital Signs - Chapter 9 VITAL SIGNS.
Advertisements

Slide 1 Copyright © Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Textbook For Nursing.
What do they assess? What can they tell you? Why are they important? Are they objective or subjective? Think about how they can help you ANTICIPATE a.
Vital Signs Chapter 15. Vital Signs Various factors that provide information about the basic body conditions of the patient 4 Main Vital Signs 1.Temperature.
Vital Signs Review. What is Blood Pressure? Blood pressure measures the force of blood pulsing outwards on your arterial walls. NORMAL ADULT BP is systolic.
Chapter 26 Measuring Vital Signs
Copyright 2002, Delmar, A division of Thomson Learning Chapter 9 General Survey and Vital Signs.
Chapter 1 Vital Signs Copyright © The McGraw-Hill Companies, Inc.
TPJ3M VITAL SIGNS.
 Temperature (T)  Pulse (P)  Respiration (R)  Blood pressure (BP)  Pain (often called the fifth vital sign)  Oxygen Saturation.
Vital Signs By: Cindy Quisenberry.
Vital Signs.
Monday, June 9,  Let’s review the 4 vital signs!  Heart rate  Respiratory rate  Blood pressure  Temperature.
Health Care Science Technology
Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 28 Measuring Vital Signs.
Healthcare Science Vital Signs
Vital Signs.  Accuracy is essential when you measure, record, and report vital signs.  Unless otherwise ordered: Take vital signs with the person lying.
Copyright 2002, Delmar, A division of Thomson Learning Chapter 9 General Survey and Vital Signs.
Cardinal signs, reflects body’s physiological status
Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Textbook for Nursing Assistants Chapter 16: Vital Signs, Height, and Weight.
Unit 14 Vital Signs.
TEMPERATURE, PULSE, RESPIRATIONS Abbreviated: TPR.
Vital Signs.
Elsevier items and derived items © 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved. Chapter 21 Assisting With Assessment.
VITAL SIGNS. Vital Signs Temperature Breathing +Pulse Oximeter Pulse Blood pressure Pain (5 th VS)
1.  Pulse  Respiration  Temperature  Blood pressure  Pupils  Colors  Level of consciousness  Reaction to pain  Ability to move A-2.
Vital Signs Temperature Pulse Respiration Blood Pressure Important indications of health of the body Various determinations that provide information about.
 when is temperature usually lower (morning or night)?
Mrs. Brodermann.  Weight  Three types of scales Balance beam scales Dial scales Digital scales  Who gets weighed Pregnant patients Infants Children.
Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 31 Measuring Vital Signs.
Signs we are ALIVE Vital Signs.
MNA M osby ’ s Long Term Care Assistant Chapter 31 Vital Signs.
Vital Signs.
Chapter 26 Measuring Vital Signs
Vital Signs.
Chapter 24 Vital Signs.
Pearson's Nursing Assistant Today CHAPTER Measuring Vital Signs 18.
Temperature- Pulse- Respiration and Blood pressure.
Guided Reading 12 C Vital Signs. Vital Signs-Temperature A.Vital Signs (VS) are the most important measurements you will obtain when you evaluate or.
VITAL SIGNS Temperature, Pulse, Respirations and Blood Pressure (TPR, BP)
Chapter 6 Vital Signs Assessment. Vital Signs Used to assess the conditions of the various body systems, particularly the respiratory and circulatory.
Vital Signs Temperature Pulse Respirations Blood Pressure
Vital Signs Signs of Life.
Vital Signs. Various determinations which provide information about basic conditions of the patients. When the signs are with in normal limits, body in.
FIRST AID AND EMERGENCY CARE LECTURE 4 Vital Signs.
Medical Careers Eden Area ROP
Chapter 26 Measuring Vital Signs.
Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole.
Chapter 26 Measuring Vital Signs.
TEMPERATURE, PULSE, RESPIRATIONS
Vital Signs Assessment
Temperature, Pulse, Respirations and Blood Pressure (TPR, BP)
Nurse Assistant in a LTC Facility
Vital Signs Lesson 3: Pulse and Respirations
Vital Signs Are measurements of the body's most basic functions:
Principles of Health Science
Vital Signs.
Chapter 19 Vital Signs.
TEMPERATURE, PULSE, RESPIRATIONS
Other Important Measurements
Manuel Gallegos, RN, BSN PERSONAL CARE ASSISTANT Class Spring 2017
Chapter 26 Measuring Vital Signs
Vital Signs Lesson 3: Pulse and Respirations
Vital Signs Assessment
What are the Four Vital Signs?
Circulatory System.
Pulse.
Health Care Science Technology
Presentation transcript:

CHAPTERS 26 &42 TANYA COMER, RN BSN

VITAL SIGNS Vital signs reflect the function of three body processes essential for life Regulation of body temperature Breathing Heart function The four vital signs of body function are: Temperature Pulse Respirations Blood pressure Some agencies consider “pain” to be the 5 th vital sign

MEASURING VITAL SIGNS AND REPORTING A person’s vital signs vary within certain limits Vital signs Are measured to detect changes in normal body function Tell about treatment response Often signal life-threatening events Are part of the assessment step in the nursing process

MEASURING VITAL SIGNS AND REPORTING (CONT) Vital signs are measured During physical exams When the person is admitted to the health care agency Before and after surgery, complex procedures and diagnostic tests After some care measure (ambulation) After a a fall or other injury When drugs effect the respiratory or circulatory system When a person c/o dizziness, pain, light-headedness, feeling faint, short of breath, or not feeling well

MEASURING VITAL SIGNS AND REPORTING (CONT) Vital signs show even minor changes in the persons condition Accuracy is essential when you measure, record, and report vital signs Take vital signs with the person at rest, lying or sitting unless otherwise ordered Report the following at once Any vital sign that has changed from the prior measurement Vital signs above normal range Vital signs below normal range

BODY TEMPERATURE Body temperature is a balance between amount of heat produced and amount lost by the body Thermometers measure temperature Temperature sites include Mouth, rectum, axilla (underarm), tympanic membrane (ear), and temporal artery (forehead) Always report temperatures that are above or below the normal range

BODY TEMPERATURE (CONT) Types of thermometers used Glass thermometers Standard electronic thermometers Digital Disposable oral thermometers Temperature sensitive tape Pacifier thermometer Taking temperature The nurse and care plan tell you when to take the person’s temperature, what site to use and what thermometer to use.

PULSE A pulse is felt every time the heart beats The pulse is the beat of the heart felt at an artery as a wave of blood passes trough the artery Pulse sites Temporal, carotid, brachial, radial, femoral, popliteal Posterior tibial and dorsalis pedis pulses are on each side of the body Radial pulse is used most often Carotid pulse is taken during CPR and other emergencies The apical pulse is felt over the heat This pulse is taken with a stethoscope

PULSE A stethoscope is an instrument used to listen to sounds produced by the heart, lungs, and other body organs. It is used to take apical pulses and blood pressures The devices makes sounds louder and easy to hear To use a stethoscope Wipe the earpieces and diaphragm with antiseptic Place the earpiece tips in your ears Tap the diaphragm gently Please the diaphragm over the pulse site Prevent noise

PULSE The pulse rate is the number of heat beats or pulses felt in 1 minute The adult pulse rate is between beats per minute. Report abnormal pulses to the nurse at once Tachycardia is a heart rate of more than 100 beats per min Bradycardia is a heart rate of less than 60 beats per min

PULSE Rhythm and force of the pulse Pulse and rhythm should be regular (a pattern with the same interval between beats) Ann irregular pulse occurs when the beats are not evenly spaced or beats are skipped Force relates to pulse strength A forceful pulse is described as strong, or bounding Electronic blood pressure equipment can also count pulses Some show if the pulse is regular or irregular You need to feel the pulse to determine the force

PULSE You will take radial, apical and apical-radial pulses You must accurately Count Report and record The radial pulse is used for routine vital signs Count the pulse for 30 seconds and multiply by 2 Of the pulse is irregular count it for a full minute

BLOOD PRESSURE Blood pressure is the amount of force exerted against the walls of an artery by the blood Blood pressure is controlled by The force of heart contractions The amount of blood pumped with each heart beat How easily the blood flows through the blood vessels Systole is the period of heart muscle contraction Diastole is the period of heart muscle relaxation

BLOOD PRESSURE Systolic pressure- the pressure in the arteries when the heart contracts Diastolic pressure- the pressure in the arteries when the heart is at rest Blood pressure is measured in millimeters of mercury (mmHg) Blood pressure normal ranges Systolic pressure – 90 mm Hg or higher but lower than 120 mm Hg Diastolic pressure -60 mm Hg or higher but lower than 80 mm Hg

CARDIOVASCULAR DISORDERS The circulatory system delivers blood to the body’s cells. Problems that occure in the heart or blood vessels include Hypertension Coronary artery disease Angina Myocardial infarction Heart failure Dysrhythmias

CARDIOVASCULAR DISORDERS (CONT) With hypertension, the resting blood pressure is too high Systolic pressure = 140 mm Hg or higher Diastolic pressure = 90 mm Hg or higher Pre-hypertension will likely develop into hypertension in the future Systolic pressure = mm Hg or Diastolic pressure = mm Hg Causes include Narrowed blood vessels, kidney disorders, head injuries, some pregnancy problems, and adrenal glad tumors

CARDIOVASCULAR DISORDERS (CONT) Hypertension can lead to Stroke (CVA) Hardening of the arteries Heart attack heart failure Kidney failure blindness Life-style changes can lower blood pressure certain drugs can lower blood pressure

RESPIRATORY DISORDERS The respiratory system brings oxygen into the lungs and removes carbon dioxide from the body Respiratory disorders that interfere with this function and threaten life include COPD Chronic bronchitis Asthma Sleep apnea Influenza Pneumonia tuberculosis

LYMPHATIC DISORDERS The lymphatic system drains extra fluid from the tissues, helps fight infection and absorbs and transports fats Lymphatic disorders that affect these functions include Lymphedema lymphoma